Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-08T02:51:30.811Z Has data issue: false hasContentIssue false
  • English
  • Français

Oxytocin Treatment in Twin Pregnancy Labour

Published online by Cambridge University Press:  01 August 2014

F. Leroy
F. Leroy*
Affiliation:
Department of Obstetrics and Gynecology, Saint-Pierre Hospital, Free University of Brussels

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A continuous series of 483 twin deliveries was studied. In 30% of cases, intravenous oxytocic treatment was given for labour induction or to accelerate the first stage. In 13% of twin deliveries this treatment was applied only after the first twin's birth. In the group perfused during cervix dilatation, foetal mortality rate was significantly lower than in the nontreated group. In order to understand the reason(s) for this difference, the following factors were studied in relation to oxytocic treatment: parity, obstetrical complications, second stage duration, abnormal presentations, obstetrical maneuvers, and birth weight. Contrasting with mortality data, Apgar scores of first twins were significantly lower in the oxytocin-treated group. In summary, several variables indirectly linked to oxytocic treatment could have favoured or hampered foetal outcome in the treated group. Therefore, it is difficult to ascertain if the use of oxytocics is helpful in twin pregnancy management. In the majority of cases, however, it may at least be considered harmless.

Keywords

OxytocinTwin LabourObstetrical complicationsPerinatal mortality
Type
Session III: Management of Twin Pregnancy
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 28 , Issue 4 , October 1979 , pp. 303 - 309
Copyright
Copyright © The International Society for Twin Studies 1979

References

REFERENCES

1. Farr, V (1975): Prognosis for the babies, early and late. In MacGillivray, I, Nylander, PPS, Corney, G, (eds): “Human Multiple Reproduction.” London: W. B. Saunders, pp 188–211.Google Scholar
2. Lahaye, M, Feroy, F, Picard, C (1959): Enclavement de deux jumeaux en présentation du sommet. Bull Soc Royale Belge Gynocol Obstet 29:413–420.Google Scholar
3. MacGillivray, I (1975): Labour in multiple pregnancies. In MacGillivray, I, Nylander, PPS, Corney, G (eds): “Human Multiple Reproduction.” London: W.B. Saunders, pp 147–164.Google Scholar
4. Rodesch, F, Ehman-Ellinger, C, Wilkin, P, Hubinont, PO (1965): Introduction, use and results of a new partogram. J Obstet Gynecol Br Commonw 72:930–935.Google Scholar